Claim total
$52,181.73
base $155.66 · payer covered $41,559.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-12-24
- Stop
- 2019-12-24
The parties
- Patient
- patient Jessia Rowena Runolfsson
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
27da6220-a2b1-e438-bc69-3aacffe472b8